Individual
NICHOLE JULIANNE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
9120 WILSHIRE CT NE, ALBUQUERQUE, NM 87122-3050
(707) 208-4308
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
68214
NM
367500000X
Certified Registered Nurse Anesthetist
95001022
CA
Other
Enumeration date
01/03/2019
Last updated
11/17/2022
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